Client Forms
If you are a new client, please click the links (#1 - #5) to download, read, and complete the forms before booking your first appointment for Vocational Rehabilitation and Counselling services.
The info in these forms must be understood and signed in order to participate in our services. Don't forget to sign and date all forms to acknowledge your understanding and consent to services.
Please send your completed forms to us confidentially by email at this address:
Evan@VolitionVocational.com
If you have questions or need assistance, please let us know in advance of your first appointment. Thank you!
1
The purpose of the Client Intake form is to provide information about the client's contact details; personal details (presenting issues and current circumstances); family, personal, and relationship history; health, medical, legal, and financial history; cultural identity; vocational rehabilitation or counselling history; goal for services; and any additional information to share. Please fill out this form as honestly and accurately as possible before signing.
2
The purpose of the Client Informed Consent form is to share some important principles, which guide our vocational rehabilitation and counselling process so that your decision to proceed in working together can be based on accurate, informed expectations. It includes information about the client's rights, contacting the VR professional or counsellor, crisis or emergencies, and acknowledgement and consent. Please read this form carefully before signing.
3
The purpose of the Client Statement of Understanding for Online Services form is to describe the nature of online vocational rehabilitation and counselling services using remote or virtual telecommunications technologies, such as video conferencing. It includes information about risks to confidentiality, issues related to technology, crisis management and intervention, efficacy, online confidentiality, appropriateness of online services, emergencies and technology, limits of confidentiality, record keeping, cancellation policy, payment, and understanding and agreement. Please read this form carefully before signing.
4
The purpose of the Vocational Rehabilitation and Counselling Professional Disclosure Statement form is to describe information about the professional's qualifications, vocational rehabilitation and counselling approaches, services, expectations, confidentiality (including exceptions with duty to warn, court subpoenas, consultation, and debt neglect), laws regarding minors, sessions, record keeping, cost and rates, important considerations, and ending services. Please read this form carefully before signing.
5
The purpose of the Authorization for Release of Client Information form is to authorize Volition Vocational Rehabilitation Services Inc. to release information about your vocational rehabilitation and counselling services (intake, interviews, assessments/evaluations, transferable skills analysis, plans, interventions, and/or progress or closure reports). You can authorize to specific parties from your records and consent to the use of this information for specific purposes. This will release Volition Vocational and its employees and agents from any and all claims which may arise as a result of the release of information. Please read this form carefully before signing.